Inspection on 10/04/06 for Curtis Weston House

This inspection was carried out on 10th April 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Curtis Weston House 21/05/07

Curtis Weston House 11/08/05

Curtis Weston House 14/04/05

Curtis Weston House 19/11/04

Curtis Weston House 17/05/04

Curtis Weston House 01/03/04

Similar services:

Hillside

Applegarth

Trevayler Residential Care Home

122 Scorer Street

Byars Care Home

St Marys Nursing Home

Jubilee Villa Care Home

Bramble Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Curtis Weston House Aylestone Lane Wigston Leicestershire LE18 1AB Lead Inspector Linda Clarke Unannounced Inspection 10th April 2006 08:45 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Curtis Weston House DS0000032956.V288313.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Curtis Weston House DS0000032956.V288313.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Curtis Weston House Address Aylestone Lane Wigston Leicestershire LE18 1AB Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 0116 2887516 0116 2887799 www.leicestershire.gov.uk Leicestershire County Council Social Services Ms Susan Rochester Care Home 40 Category(ies) of Dementia - over 65 years of age (20), Learning registration, with number disability over 65 years of age (4), Mental of places Disorder, excluding learning disability or dementia - over 65 years of age (6), Old age, not falling within any other category (40), Physical disability over 65 years of age (10), Sensory Impairment over 65 years of age (4) Curtis Weston House DS0000032956.V288313.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. No person falling within category DE(E) may be admitted to the home when 20 persons who fall within category DE(E) are already accommodated No person falling within category MD(E) may be admitted to the home when 6 persons who fall within category MD(E) are already accommodated No person falling within category LD(E) may be admitted to the home when 4 persons who fall within category LD(E) are already accommodated No person falling within category PD(E) may be admitted to the home when 10 persons who fall within category PD(E) are already accommodated No person falling within category SI(E) may be admitted to the home when 4 persons who fall within category SI(E) are already accommodated Specified Service Users Service users between the age of 55-65 years who fall within the above categories and were resident in the care home at the date of registration may continue to reside there To be able to admit the named person of category DE named in variation application number V20547 dated 14th May 2005. To be able to admit a named person under the age of 65 named in variation application No. V20273 dated 6th May 2005. 11th August 2005 7. 8. Date of last inspection Brief Description of the Service: Curtis Weston is a care home providing personal care and accommodation for forty older persons, who may have associated conditions, which may include dementia, mental disorder, learning disability, physical disability and sensory impairment. Curtis Weston has a respite facility offering accommodation for up to seven individuals with Dementia, and the facility being a self contained unit within the home. The home is situated in the town centre of Wigston, close to shops, pubs, the post office and other amenities with local transport facilities being easily accessible. The forty single bedrooms are without en-suite facilities. Accommodation is provided over two floors with access between the floors being via stairs or a passenger lift. Curtis Weston House DS0000032956.V288313.R01.S.doc Version 5.1 Page 5 Information is located on site detailing the range of services offered, which includes the Statement of Purpose, in addition to this Curtis Weston has copies of the Commission of Social Care Inspections, Inspection Reports, which are located in the main office and entrance hall and are available upon request. The maximum weekly fee is £451.50, which was provided on the day of the Inspection. There are additional costs for individual expenditure such as Chiropody, Optician and hairdressing services, and the fee will depend on the services received. Curtis Weston House DS0000032956.V288313.R01.S.doc Version 5.1 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection Report reflects a visit to the service, which included discussions with service users, relatives, and staff and the reading of documents relevant to service user care and welfare, along with staffing records. In addition documents supplied direct to the Commission for Social Care Inspection by the care home, which includes reports of incidents involving individual service users and records of visits undertaken by a representative of the Responsible Individual have been incorporated. What the service does well: What has improved since the last inspection? What they could do better: Information to prospective service users and their families is available; improvements to the content, accuracy, presentation and accessibility of this information would support individuals in choosing a placement. The content of care plans should be significantly improved to incorporate detailed guidance for care staff as to how a service user is to be supported with all aspects of their daily lives. Care plans should reflect the service users expectations and wishes, and any views expressed by service users acknowledged and supported. Curtis Weston House DS0000032956.V288313.R01.S.doc Version 5.1 Page 7 For staff to provide high quality care for all service users for whom the care home is registered consideration should be given to providing training in Sensory Impairment, which includes the role of staff in offering support. Curtis Weston does not have an internal quality assurance system, which enables service users and their representatives to comment at defined intervals as to the services offered by the home. Service user meetings, which are currently held, are not used as a mechanism for improving the quality of life for service users. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Curtis Weston House DS0000032956.V288313.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Curtis Weston House DS0000032956.V288313.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 3. Standard 6 is not applicable, as Intermediate care is not provided. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The content and the distribution of information could be improved to support prospective service users in making a decision as to where to live. EVIDENCE: Information regarding the service and facilities, which Curtis Weston provides is kept on site, this details the initial assessment and referral process and includes environmental information along with the aims and objectives. The information booklet refers to the complaints procedure, the full complaints procedure is not part of the information pack, copies of the complaints procedure can be found in the entrance foyer of the home. The information provided by Curtis Weston does not include views or comments of service users who already reside within the home. Service users with sight impairments may experience difficulty in reading the documentation; other formats could be considered, with consideration being given to the range of service users needs for which Curtis Weston is registered to provide for. Curtis Weston House DS0000032956.V288313.R01.S.doc Version 5.1 Page 10 An up to date list of fees was available in the office area, however the fees currently applicable are not incorporated within the information and therefore prospective service users would need to ascertain this information prior to accepting a placement. The provision of information could be improved, for example if Social Workers were to provide the individual with the information as part of the assessment and referral process. The records of three service users residing at the home, and the record of one individual accessing the respite facility were viewed, all were found to contain a comprehensive assessment undertaken by a Social Worker Curtis Weston House DS0000032956.V288313.R01.S.doc Version 5.1 Page 11 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10 and 11. Quality in this outcome area is adequate. This judgement has been made using available evidence including a site visit to this service. Improvements need to be made to ensure the promotion of service users health, welfare and care. EVIDENCE: The care plans and records of three service users and one individual accessing respite services were viewed. Care plans contained a brief outline as to how the care needs of the service users were to be met, reference as to the service users expectations of care were again brief. Information detailing life and family history and been recorded for some service users whose records were viewed, however the information was limited, and did not create a portrait of the person. Care plans detailed physical and mental health diagnosis where appropriate, care plans did not contain guidance as to how care was to be provided or how staff were to support service users, and promote well-being. The care plan document has been reviewed, however the information contained has been transferred from the previous document, and has not been improved upon. Curtis Weston House DS0000032956.V288313.R01.S.doc Version 5.1 Page 12 Significant improvements need to be made to the content of care plans, to ensure access to appropriate care by service users. Previous inspections have identified the need for improvement, however to date any improvements have been minimal. Risk assessments were in place, however not all were dated therefore it is not possible to form an opinion as to frequency of their review. One service user, whose records were viewed, spoke positively of the care she received and praised the staff and the care they provided. Discussion were held with two service users whose records were not viewed, but had indicated they wished to speak with the Inspector, both ladies said they were happy with the level of care they received. Opportunity was taken to speak with a relative of a service user who was visiting at the time of the Inspection; the relative spoke positively as to the care received, and had no current concerns. Records viewed indicated access to health care professionals, including General Practitioners, District Nurses, Chiropodists and specialist medical staff including hospital appointments. The records of one service user however evidenced deterioration in appetite, and although the care plan had been updated there was no evidence that specialist guidance had been sought, for example through a Dietician and the Nutritional assessment had not been reviewed for seven months. Members of staff interviewed confirmed that the development and reviewing of care plans is conducted with the service user and in some instances with relatives, one member of staff however felt this process was on occasions hurried, as time is not set aside but has to be completed whilst being on duty, where their prime responsibility is to provide care. The medication and medication records of some service users were viewed; all were found to be in good order. Throughout the inspection process staff were observed speaking with service users in a sensitive manner, with consideration being given to the promotion of their privacy and dignity. Care plans viewed outlined the wishes of the service user and the role of relatives where ill health is of concern, which includes the arrangements following death. Curtis Weston House DS0000032956.V288313.R01.S.doc Version 5.1 Page 13 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users experience a homely life style and visitors are encouraged to visit. Service users access to activities is minimal, and their choices and opinions are not always considered. EVIDENCE: Curtis Weston employs a Activity Organiser who is also employed as a member of care staff, the appointment is for twenty hours a week inclusive of both roles, the role of the Activity Organiser is to support service users both in groups and individually to participate in activities, a formal programme of activities is not in place. The staffing rota was viewed, the hours for which the Activity Organiser provided activities over a four week period, which including two weeks prior to the Inspectors visit, the week of the visit and the projected following week totalled 33 hours out of the possible 80 hours, which for service users means that activities represent 41 of the staff members role. Activities which were discussed at the service user meeting in January 2006, spoke of the trip to see the Christmas lights, the Christmas party and the visiting Carol singers. Curtis Weston House DS0000032956.V288313.R01.S.doc Version 5.1 Page 14 The Activity Organiser was accessing training on the day of the Inspectors visit; there was no evidence of service users being engaged in activities. It was observed that service users in one lounge in the afternoon were listening to music; whilst in the other lounge a majority of service users were asleep, whilst the television was on showing children’s programmes. One lady advised that she has a regular delivery of newspapers, other service users were observed receiving daily papers. One lady said she enjoyed reading thriller novels. Records detailed a few entries detailing service users participation in activities, however the activity participated in or the views of service users as to the activity were not recorded. Records of two service users viewed recorded they had participated in the Church service held in the home. The Inspector sat with service users during breakfast, service users were asked as to where they wished to sit. Choices included a cooked breakfast, as well as cereals and toast. Service users were asked as to their views of the meals provided, positive comments were received as to the quality of the food, one lady said that she was always given mashed potato, despite stating that she doesn’t like this. The view of one member of staff interviewed said sometimes meals are served, without service users being asked as to what they wish to eat. The member of staff provided an example, where by a service user was not served vegetables, as there was a significant number of vegetables they didn’t like, however a few that they did. The provision of meals is an important one, and the ascertaining of service users wishes should be central to the day to day running of the home, enabling service users to express choice and control over their daily lives. The menu for the day is displayed. Curtis Weston House DS0000032956.V288313.R01.S.doc Version 5.1 Page 15 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service has robust arrangements in place to ensure concerns are responded to in an efficient and effective manner to protect people who use the service. EVIDENCE: Service users when asked were confident that should they have any concerns, they were clear as to whom they should speak with, in addition there is a written complaints procedure, and information as to how to contact advocacy services. Minutes of the previous service user meeting held in January 2006 recorded that the complaints and compliments policy and been discussed, and service users were reminded as to how they could bring issues of concern forward. Staff who were interviewed were aware of policies and procedures which detail staffs role in protecting service users from abuse, including the policies, which support staff in raising issues of concern. The Complaints Record was viewed, which evidenced that the home has received complaints since the last inspection; the outcome of the complaints was recorded along with any action necessary. The Commission for Social Care Inspection has not received any expressions of concern with regards to Curtis Weston. Curtis Weston House DS0000032956.V288313.R01.S.doc Version 5.1 Page 16 One relative spoken with confirmed that he had accessed the complaints procedure which he had found to be effective, and brought about a satisfactory outcome. Curtis Weston House DS0000032956.V288313.R01.S.doc Version 5.1 Page 17 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 22, 24 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A comfortable and clean standard of accommodation is provided for service users. EVIDENCE: Service users spoke positively of their environment. Communal areas were decorated to a high standard, the Deputy Manager highlighted areas of improvement which included the widening of one service users bedroom door, to promote ease of access, five bedrooms have had carpets replaced, their have been improvements to the lounge in the respite unit, and ten new armchairs and beds have been purchased. Communal areas including lounges, dining areas and corridors were clean and tidy. Staff training files evidenced some staff had accessed training in Infection Control, at the time of the Inspection one washing machine was out of order. Curtis Weston House DS0000032956.V288313.R01.S.doc Version 5.1 Page 18 Three bedrooms were viewed by the Inspector and found to be in good decorative order, and were furnished to meet the needs of the individual and reflected their individual style, including provision of furniture and personal items provided by the service user themselves. Equipment is available to assist service users and staff in the delivery of personal care, which includes assisted baths, moving and handling equipment including hoists. Curtis Weston House DS0000032956.V288313.R01.S.doc Version 5.1 Page 19 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Trained and qualified staff are employed following robust recruitment checks and are employed in to meet the care needs of service users. EVIDENCE: Four members of care staff support Service users in the morning and three care staff in the afternoon/evening with an additional member of staff supporting individuals within the respite unit, in addition there is always a member of the management team on duty. Two members of care staff support Service users during the night, with a member of the management team being on call. Staff interviewed felt that staffing numbers were not always sufficient and this could impact on effective care. Throughout the day the Inspector observed there was little opportunity for care staff to interact with service users except during the delivery of care. The Inspector viewed a selection of staff recruitment records, all necessary employment checks, which included written references and a Criminal Record Bureau check. Staff spoken with confirmed they received an annual development review, the frequency of supervisions was variable, one member of staff stating they have a supervision session every six months, with another member of staff saying every three months. Curtis Weston House DS0000032956.V288313.R01.S.doc Version 5.1 Page 20 Curtis Weston employs twenty-one members of permanent care staff, of which twelve members of staff have completed a National Vocational Qualification in Care at level 2, which represents 57 of the care staff team. Training records were viewed which highlighted a variety of topics, pertaining to the health and safety of service users and staff. Training records were not up to date, and had not be completed systematically. A proportion of staff have accessed training in Dementia Care, members of staff spoken with said they would like to have the opportunity to attend further training on Dementia Care and Alzheimer’s Disease. There is a proportion of service users residing at the home who have a Sensory Impairment, it is recommended training in this area be provided. Curtis Weston House DS0000032956.V288313.R01.S.doc Version 5.1 Page 21 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35 and 38. Standard 31 is not currently applicable. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Managerial improvements need to be made to ensure an effective management team, consistent with the promotion of service user welfare and care, which needs to include a formal mechanism for service users and their representatives to comment and shape improvements within the home. EVIDENCE: The Registered Manager has recently resigned; the Social Services department of the Local Authority has advertised the position. A representative of the management team of the Local Authority, who is external to Curtis Weston, visits the home on a monthly basis, representing the Responsible Individual. Curtis Weston House DS0000032956.V288313.R01.S.doc Version 5.1 Page 22 A report is generated following each visit, the purpose of the visit being to review documents, speak with service users, staff and the management team, to view the environment and deal with any specific issues. A copy of the report is forwarded to the Inspector, reports since last inspection have evidenced funding for future training, decoration to parts of the home, review of budgeting and development of care plans. Quality assurance needs further development, to formalise the process of gaining service user, relative and friend views. Through this the home will be able to review its practices, to ensure its ability to continue to improve both the care and quality of life for its service users. Although service user meetings take place the last being held in January 2006, issues identified by service users, which were recorded in the minutes, have not been followed through, these included a request from service users that a shop be set up within the home, a flower arranging activity be organised, previous ballroom dancing sessions within Wigston be reintroduced and the provision of additional seating and tables along with a gazebo be purchased. All those who reside at Curtis Weston do not attend the Service user meetings. Quality assurance processes will be followed up at the next inspection, when it is expected that significant improvements will have been made to enable service users and their representatives to comment as the services offered by Curtis Weston. A quality assurance questionnaire has been developed which is given to all service users accessing the homes respite services, providing individuals with a means of commenting on the care they received, and thus providing a system for the home to continually improve its practice. A number of ‘thank you’ cards were on site, evidencing service user and relative satisfaction in the care Curtis Weston provides. The Inspector viewed the financial records of three service users, service users money is managed either by the finance department of County Hall, Leicestershire County Council, or by the service user themselves and/or their family. Fire records were completed, which evidenced regular fire drills and tests. A fire risk assessment was also in place, which is reviewed. Additional health and safety checks include the monitoring of hot water temperatures. The accident and incident book was viewed; service user records supported the entries within the accident book. Curtis Weston House DS0000032956.V288313.R01.S.doc Version 5.1 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 2 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X 3 X 3 X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score N/A X 2 X 3 X X 3 Curtis Weston House DS0000032956.V288313.R01.S.doc Version 5.1 Page 24 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard OP1 Good Practice Recommendations It is recommended that the information about services offered is revised and improved, with consideration being given to content, format and distribution, in order that there are effective and accurate processes for the dissemination of information to prospective service users their families and friends. The level of information detailing the care needs of service users, and how this care is to be delivered by care staff needs to be increased to ensure effective care delivery. It is recommended that mechanisms be adopted to ensure that service users preferences are recorded and acted upon, with reference to meal choices. The registered person shall establish and maintain a system for reviewing an appropriate internals and improving the quality of care provided at the care home. It is reasonably expected this includes service users and their representatives. 2 3 4 OP7 OP14 OP33 Curtis Weston House DS0000032956.V288313.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Curtis Weston House DS0000032956.V288313.R01.S.doc Version 5.1 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!